Individual provider · Type 1 NPI

Khadiga Ahmed, DO

Family Medicine Physician · Lake Ronkonkoma, NY

NPI number 1053817296 Active

Practice location

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324

Call (631) 471-0100 Map

Fax (631) 471-1000

Mailing address

55 Water St Fl 2
New York, NY 10041-0010

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X329788 (NY)
Family Medicine Physician 207Q00000X288031 (MA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1053817296

Khadiga Ahmed, DO's National Provider Identifier is 1053817296, issued on Apr 5, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Sep 12, 2025.